IN Studio Waiver & Release Form
Apr 28, 2025 03:11 AM
ELLENS SCHOOL OF DANCE DANCER
WAIVER AND RELEASE OF LIABILITY
In consideration of being allowed to participate in any way in Ellens School of Dance classes, related events and activities, the undersigned acknowledges and agrees that:
1. The risks(excommunicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this program are significant and while guidelines and properly disinfecting may reduce these risks, the risks do exist.
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, and assume full responsibility for my participation.
3. I willingly agree to comply with the stated protocols and guidelines for participation and I agree to read all communications from ESOD pertaining to dance classes and will ensure my family complies with these guidelines.
4. I acknowledge that I am aware that there are risks to my child of exposure to directly or indirectly arising out of: An outbreak of any and all communicable diseases.
5. I hereby voluntarily agree to waive, hold harmless and indemnify Ellens School of Dance and employees from any and all claims, demands, damages and causes of action of any nature by reason of my participation in the above activities. I indicate my agreement to this hold harmless elective noted below.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE SIGN IT FREELY AND VOLUNTARILY.
This is to certify that I, as parent/guardian with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child including the risks of the activity and his/her responsibilities for adhering to the rules and regulations. Furthermore, my child understands and accepts these risks and responsibilities. I agree to indemnify and hold harmless the Releases from any and all liabilities incident to my minor child’s involvement or participation in these activities as provided above to the fullest extent permitted by law.
Dancers Name: ___________________________________________________
Parent/Guardian Name:_____________________________________________
Parent/Guardian Signature___________________________________________
DATE SIGNED:_____________________ Phone Number: (_____)______________